Subacromial balloon spacer implantation for the treatment of irreparable rotator cuff tears in patients over 60 years of age with functional shoulder ranges of motion
DOI:
https://doi.org/10.58814/01208845.85Keywords:
Rotator Cuff Tears, Arthroscopy, ElderlyAbstract
Introduction: Subacromial balloon spacer implantation is a surgical technique for the treatment of irreparable rotator cuff tears that allows relieving pain and preserves shoulder mobility.
Objective: To describe the outcomes of subacromial balloon spacer implantation for the treatment of massive and irreparable rotator cuff tears in patients aged 60 years or older with functional shoulder ranges of motion (affected shoulder elevation >90°), low occupational demand, and no glenohumeral osteoarthritis.
Methodology: Retrospective longitudinal study performed in 24 patients treated with subacromial balloon spacer implantation (follow-up ≥24 months) between 2017 and 2020 in a university hospital (quaternary care level) in Bogotá D.C. (Colombia). The Wilcoxon test was used to evaluate the differences between preoperative and postoperative values (last follow-up) in the following variables: degree of elevation of the affected limb, degree of external rotation of the affected shoulder, functionality (American Shoulder and Elbow Surgeons Score - ASES), and pain level (Visual Analog Scale - VAS).
Results: The mean age of the patients was 72 years, 79.1% were women, and the mean follow-up time was 45 months. Significant differences were found between preoperative and postoperative measurements in ASES score (28.5 vs. 75; p=0.000), VAS score (8 vs. 3; p=0.000), and degree of elevation of the affected limb (120° vs. 160°; p=0.0008). The median satisfaction score with the outcomes of the procedure was 8 points out of 10.
Conclusion: In the present study, subacromial balloon spacer implantation proved to be a safe and effective option for the treatment of massive and irreparable rotator cuff tears in patients aged 60 years or older with functional shoulder ranges of motion and low occupational demands.
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